Basic Information
Provider Information
NPI: 1093942211
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MOSER
FirstName: CHRISTOPHER
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 344 ROLLING HILL RD
Address2: STE 102
City: MOORESVILLE
State: NC
PostalCode: 281176865
CountryCode: US
TelephoneNumber: 7044644439
FaxNumber: 7046648802
Practice Location
Address1: 41 MALL RD
Address2: LAHEY CLINIC
City: BURLINGTON
State: MA
PostalCode: 018050001
CountryCode: US
TelephoneNumber: 7817448132
FaxNumber: 7817442273
Other Information
ProviderEnumerationDate: 06/15/2009
LastUpdateDate: 01/26/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X156622NCN Student, Health CareStudent in an Organized Health Care Education/Training Program 
207L00000X255035MAN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000X2014-02026NCY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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